NPI | 1942277223 |
---|---|
Doing Business As | FAMILY PRACTICE OF CENTRAL JERSEY |
Entity Type | Organization |
Authorized Contact | KENNETH W FAISTL Owner 732-462-9622 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-03-04 |
Last Update Date | 2008-05-20 |